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      COVID-2019 Alert

      The latest information about the 2019 Novel Coronavirus, including vaccine clinics for children ages 6 months and older.

      La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para niños de 6 meses en adelante.

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      Symptoms and Diagnosis of Multiple Pregnancy

      What are the symptoms of multiple pregnancy?

      Each woman may have slightly different symptoms. But the most common symptoms of multiple pregnancy are:

      • Uterus is larger than expected for the dates in pregnancy

      • More morning sickness

      • Greater appetite

      • Too much weight gain, especially in early pregnancy

      • Fetal movements felt in different parts of the stomach at the same time

      How is multiple pregnancy diagnosed?

      Illustration of a transabdominal ultrasound procedure
      Click Image to Enlarge

      Many women suspect they are pregnant with more than 1 baby. The healthcare provider may diagnose multiple fetuses early in pregnancy. This is especially true if fertility treatments were used. The provider may make the diagnosis with a health history, physical exam, and the following tests:

      • Pregnancy blood testing. Levels of human chorionic gonadotropin (hCG) may be quite high with multiple pregnancy.

      • Alpha-fetoprotein. Levels of a protein released by the fetal liver and found in the mother's blood may be high when more than 1 fetus is making the protein.

      • Ultrasound. This is an imaging test that uses high-frequency sound waves to create images of blood vessels, tissues, and organs. Ultrasounds can be done with a vaginal transducer, especially in early pregnancy. Or they can be done with an abdominal transducer in later pregnancy.

      Related Topics

      • Multiple Births Quiz
      • Complications of Multiple Pregnancy
      • Overview of Multiple Pregnancy
      • Symptoms and Diagnosis of Multiple Pregnancy
      • When You Have a Multiple Pregnancy

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